A nurse enters a client's room and finds the client experiencing a seizure on the floor. Which of the following actions should the nurse take?

A. "Discarding worksheets containing client information in a wastebasket." Client information should be disposed of properly to prevent unauthorized access. Documents containing protected health information should be shredded or placed in designated confidential disposal bins rather than a regular wastebasket.
B. "Writing a client's diagnosis on the message board in the client's room." Publicly displaying a client’s diagnosis can lead to unauthorized disclosure of protected health information. While message boards can be used for general reminders such as scheduled tests, they should not include sensitive medical details.
C. "Discussing a client's prognosis with an assistive personnel who is caring for the client." While assistive personnel may need to know some aspects of a client’s care, discussing a prognosis typically falls outside their scope of practice and should be limited to appropriate healthcare professionals involved in decision-making.
D. "Giving change-of-shift report to a nurse outside the client's room." Conducting shift reports in a private or semi-private setting with only authorized personnel helps protect client confidentiality. While reports may sometimes occur at the bedside for continuity of care, they should be done in a way that minimizes exposure of personal health information to others who are not directly involved in the client's care.

A. "Establish a daily exercise routine." Regular physical activity helps regulate the sleep-wake cycle and promotes deeper sleep. Exercising earlier in the day enhances sleep quality, but vigorous exercise close to bedtime should be avoided as it can be stimulating.
B. "Keep the television volume low while you are trying to fall asleep." Watching television before bed can interfere with melatonin production due to blue light exposure, making it harder to fall asleep. A dark, quiet environment is recommended for better sleep.
C. "Remain in bed until you fall asleep." Staying in bed while struggling to sleep can reinforce insomnia. It is recommended to get out of bed and engage in a relaxing activity if unable to sleep within 20 minutes, then return when drowsy.
D. "Sleep longer hours on the weekend." Sleeping in on weekends disrupts the body's internal clock and can worsen sleep difficulties. Maintaining a consistent sleep schedule, even on weekends, helps regulate circadian rhythms and improve sleep quality.